$1,936.96
37254 reports the initial vessel for simple-lesion iliac angioplasty; 37255 reports an additional eligible vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37255 Angioplasty Medicare reimbursement rates in New Mexico
Reports balloon angioplasty for a simple lesion in an additional iliac vessel during endovascular revascularization, alongside an eligible primary procedure. Compare 37255 office and facility rates across CMS payment localities in New Mexico.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 37255 in New Mexico?
New Mexico has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$482.75
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$139.71
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Peripheral vascular intervention
About 37255: Additional iliac angioplasty vessel
Reports balloon angioplasty for a simple lesion in an additional iliac vessel during endovascular revascularization, alongside an eligible primary procedure.
Code 37255 represents treatment of an additional vessel in the iliac vascular territory by endovascular balloon angioplasty for a lesion classified as simple. It is used when revascularization extends beyond the initial vessel; it is not the code for the initial vessel or for an additional vessel treated with a stent. Vascular surgeons, interventional radiologists, and interventional cardiologists commonly perform these interventions in an angiography or endovascular suite.
Report this add-on only with an eligible primary revascularization procedure. The record should identify the iliac vessel treated, support the simple-lesion classification, and document the angioplasty performed and any stent placement. CMS pays the add-on within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% of the rate for the unilateral service.
CMS billing rules for 37255
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU3.00 · 20%
- Practice expense (office) RVU11.56 · 76%
- Malpractice RVU0.71 · 5%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
37255 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$550.92
Both address additional iliac vessels, but 37257 is for a complex lesion; 37255 is for a simple lesion.
$1,126.08
37259 is for an additional iliac vessel treated with stenting for a simple lesion; 37255 is the angioplasty code.
$2,017.15
37264 describes simple-lesion angioplasty for an additional vessel in the femoropopliteal territory, not the iliac territory.
Compare 37255 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
New Mexico →
Office / nonfacility
$482.75
Facility
$139.71
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 37255 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
4,614
- Code
- 37255
- Physician work
- 3.00
- Practice expense
- 11.56
- Malpractice
- 0.71
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.00 | × 1.000 | 3.0000 |
| Practice expense | 11.56 | × 0.917 | 10.6005 |
| Malpractice | 0.71 | × 1.201 | 0.8527 |
| Total RVUs | 14.4532 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$482.75
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3 | 1 |
| Practice expense | 11.56 | 0.917 |
| Malpractice | 0.71 | 1.201 |
(3 × 1 + 11.56 × 0.917 + 0.71 × 1.201) × $33.4009 = $482.75
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3 | 1 |
| Practice expense | 0.36 | 0.917 |
| Malpractice | 0.71 | 1.201 |
(3 × 1 + 0.36 × 0.917 + 0.71 × 1.201) × $33.4009 = $139.71
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
37255 billing questions
When is 37255 used instead of 37254?
Use 37254 for the initial vessel in the applicable simple-lesion iliac angioplasty service. Use 37255 for each eligible additional vessel treated in that territory.
Can 37255 be submitted by itself?
No. It is an add-on code and must be reported with an eligible primary revascularization procedure.
How does 37255 differ from the iliac stent add-on?
37255 describes an additional vessel treated with angioplasty for a simple lesion. When a stent is placed, consider the corresponding stent code instead.
What documentation supports reporting an additional vessel?
Document the treated iliac vessel separately from the initial vessel, the lesion characteristics supporting simple classification, and the angioplasty performed.
How is bilateral reporting paid under the CMS rule?
CMS lists modifier 50 for bilateral procedures and pays 150% of the unilateral rate. The add-on must still accompany an eligible primary procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,61137252,,Intrvasc us noncoronary 1st,A,,1.76,24.68,,0.24,,0.37,26.81,2.37,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61237253,,Intrvasc us noncoronary addl,A,,1.40,3.40,,0.19,,0.28,5.08,1.87,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61337254,,Revsc evasc ivt angio sf 1st,A,,7.30,53.04,,1.04,,1.71,62.05,10.05,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61437255,,Revsc evasc ivt angio sf ea,A,,3.00,11.56,,0.36,,0.71,15.27,4.07,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61537256,,Revsc evasc ivt angio cplx 1,A,,10.75,59.50,,1.47,,2.51,72.76,14.73,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61637257,,Revsc evsc ivt angio cplx ea,A,,3.89,12.54,,0.46,,0.92,17.35,5.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61737258,,Revsc evasc ivt stent sf 1st,A,,8.75,95.81,,1.17,,2.09,106.65,12.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210